Central Slip Tendon Injury

What Is It?

A central slip tendon injury means that you have ruptured the tendon over the middle part of the top of your finger.  You are not be able to straighten your finger. If the tendon ruptures without harm to the skin, this is called a closed injury. This is particularly common when the finger is hit in a bent position by a fast moving ball.  When the tendon and the skin are cut, it is classified as an open injury. This usually occurs from a laceration.  Treatment may differ depending on the type of injury. Initially, your finger will be swollen and you will be given a compression bandage to reduce the swelling. Dressings will be required to protect the wound. Sutures stay in for ten days, during which time you cannot get your hand wet.

What May I Experience?

  • pain
  • swelling
  • inability to straighten your finger

What Should I do?

A custom made splint will be made to immobilise your finger in the correct position for six weeks. It will need to be worn all the time (except while doing your exercises). The therapist will provide you with exericse splints as well as educating you regarding specific exercises. The exercises are progressed on a weekly basis. If you have a wound, we will also work on scar management.

What Can I Expect?

By following The Hands Physio recommendations and treatments, your finger should recover to bend and straighten again within six to eight weeks. You should have full tendon strength by ten to twelve weeks.

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